REBOUND PCL TECHNICAL MANUAL
®
INITIAL BRACE APPLICATION
1. To start, unfasten all straps and the AMS wrap. The leg must be in full
extension when brace is applied. Place the hinge slightly above (approximately
15 mm) the joint line so the brace can properly seat itself.
ADJUSTING DYNAMIC TENSIONING SYSTEM
10.
11.
12.
13.
NOTE: For easy fitting by one person. Ask
patient to lay on his/her stomach. Apply the
brace and ask patient to turn around.
2. Beginning with the AMS wrap just below
the knee, fasten the wrap snugly, as this
will aid in brace suspension.
3. Stabilise the brace by loosely attaching
the distal anterior thigh strap.
4. Next, snugly fasten the distal anterior
tibial strap by inserting it through the slot
in the lower subshell while centering the
tibial shell on the Tibia.
5. Fasten the proximal thigh strap by
inserting it through the slot in the upper
subshell.
6. Fasten the anterior distal thigh strap and
center the femoral shell so that the hinge
is centered at midline (A/P) on the knee.
7. Fasten the distal posterior thigh strap to
affix the hinge in its centered position at
midline A/P.
8. With patient in standing position and leg
in full extension, place the desired shear
knob in the diamond shaped hole on the
spool. Slowly turn the shear knob in the
clockwise direction until the shear knob
breaks. Discard the two pieces of the
shear knob.
9. Place the DTS sticker on the spool to
cover the diamond shaped hole. This
is to prevent the patient and/or anyone
other than the healthcare provider from
adjusting the spool Provide instructions
for use to the patient. Instruct the patient
never to remove the DTS sticker and
never to adjust the spool.
14.
15.
16.
17.
Remove brace from leg if patient is still wearing the brace.
Unfasten the DTS system from the AMS wrap
Flip the DTS system so the underside is exposed.
Insert a pen/screwdriver into the hole in
the pawl and apply outward force in the
direction of the arrow to disengage the
pawl from the spool. While holding the
pawl in the disengaged position, pull the
cable out of the DTS, (this will unwind
the cable and cause the spool to spin in
the counter clockwise direction) until the
DTS slides freely on the cable
Center the DTS by pulling the DTS away
from the brace and centering it between
the uprights, (ensure that the cable is
equal length on each side of the DTS).
Place the desired shear knob into the
diamond shaped hole on the spool
and slowly turn the shear knob in the
clockwise direction approximately a half
turn to lock the DTS onto cable.
Flip the DTS back over and re-affix in its
original position on the AMS wrap. Note:
The cables should be loose but of equal
length on each side of the DTS.
Repeat steps 1-9 in the “Initial Brace
Application” instructions to re-tension
the DTS.
ADJUSTING THE RANGE OF MOTION
18. Remove the condyle pads from the
medial and lateral hinges.
19. Remove retaining screw. Using a PH1
screwdriver, slide the flexion/extension
stop out of the hinge.
20. Re-apply the desired flexion and/or
extension stop. Gently secure it with
the retaining screw (DO NOT OVER
TIGHTEN).
21. Follow the same procedure to change the
stop on the opposite side.
22. Re-apply the condyle pads from the
medial and lateral hinges.